2004—2014年自贡市第一人民医院恶性肿瘤住院患者疾病谱及病死率分析  

Analysis on disease spectrum and fatality rate of inpatients with malignant tumor in Zigong First People's Hospital from 2004-2014

作　　者：刘军[1] 晏军[1] 

机构地区：[1]四川省自贡市第一人民医院肿瘤科,643000

出　　处：《职业与健康》2015年第19期2722-2724,共3页Occupation and Health

摘　　要：目的分析恶性肿瘤住院患者的疾病构成、病死率及主要死因,为掌握该地区恶性肿瘤流行情况及肿瘤防治工作提供相关依据。方法回顾性分析2004—2014年四川省自贡市第一人民医院13 368例恶性肿瘤住院患者及500例恶性肿瘤住院死亡患者的临床资料。结果恶性肿瘤住院患者的前10位疾病构成分别为肺癌、肝癌、结直肠癌、食管癌、胃癌、乳腺癌、宫颈癌、鼻咽癌、淋巴瘤、卵巢癌,占全部住院患者的78.6%。恶性肿瘤住院患者总病死率为3.74%(500/13 368),病死率呈逐年下降趋势(趋势χ2=263.573,P<0.01),男性恶性肿瘤患者病死率高于女性(χ2=71.632,P<0.01)。死因顺位分析显示,前10位死因依次为肺癌、肝癌、结直肠癌、胃癌、食管癌、胰腺癌、乳腺癌、前列腺癌、鼻咽癌、卵巢癌,占死亡总数的71.0%,肺癌是所有恶性肿瘤死因构成的首位,占33.6%;不同性别有不同的死因顺位。结论自贡地区恶性肿瘤住院患者中肺癌患者的发病率和病死率稳居第一,全部恶性肿瘤死因构成中肺癌占近三分之一,应加强对肺癌等重点癌种的防治工作,提高居民的健康水平。[Objective]To analyze the disease spectrum, fatality rate and main death causes of inpatients with malignant tumor,provide the basis for realizing the epidemiological characteristics of malignant tumor and taking tumor prevention and treatment in the area. [Methods]The clinical data of 13 368 inpatients with malignant tumor and 500 inpatients died of malignant tumor in Zigong First People＇s Hospital from 2004-2014 were analyzed retrospectively. [Results]The top 10 malignant tumors of inpatients were lung cancer, liver cancer, colorectal cancer, esophageal cancer, stomach cancer, breast cancer, cervical cancer,nasopharyngeal carcinoma, lymphoma, and ovarian cancer, accounting for 78.6% of total inpatients. The total fatality rate of inpatients with malignant tumor was 3.74%（ 500/13 368）, and the fatality rate showed a descending trend year by year（ χ^2trend=263.573,P〈0.01）. The fatality rate of malignant tumor in males was higher than that in females（ χ^2=71.632,P〈0.01）. The rank order analysis revealed that the leading 10 causes of death were lung cancer, liver cancer, colorectal cancer, gastric cancer,esophageal cancer, pancreatic cancer, breast cancer, prostate cancer, nasopharyngeal cancer, and ovarian cancer, accounting for 71.0% of the total death cases. Lung cancer ranked first place in death causes of malignant tumor, accounted for 33.6%. The rank order of causes of death was different in different gender groups. [Conclusion]Lung cancer shows the highest incidence rate and mortality rate among malignant tumors in inpatients in Zigong City, and lung cancer accounted for nearly 1/3 of all death cause of malignant tumors. It is necessary to strengthen the prevention and control of key malignant tumors, such as lung cancer,to improve the health of residents.

关 键 词：恶性肿瘤 住院患者 疾病谱 死因 

分 类 号：R181.32[医药卫生—流行病学]